Status of the Electronic Health Record in the

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Ministry of Health Health Information Directorate
4th Regional e-Health Conference Building the
Electronic Health Record
Status of the Electronic Health Record in
the Kingdom of Bahrain
Shafee Habib snotee_at_health.gov.bh
September, 2004
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• Agenda
• Health Care and Facilities Overview
• Current Technology Architecture
• Initiated Projects
• Information and Communication Technology
  Strategy

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Kingdom of Bahrain

• Total Population around 672,123 of which 62.4
  are Bahraini.
• Average health cost per person is 103.1 BD
• Population per doctor 542 per nurse 226
• Health status of population has improved
  dramatically over the last 40 years. (Significant
  decrease in premature death and an increase in
  life expectancy)

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Health Facilities in Bahrain

• 4 Health Regions
• 9 Government Hospitals
• 5 Private Hospitals
• 20 H.C., 2 Clinic,
• 1 P.S.

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Current Application Architecture
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(No Transcript)
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Network Architecture
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Initiated Projects

• Tele Medicine
• Smartcard Project
• Health Portal

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Roadmap
Project Name
Subproject Name
1. Infrastructure Support

• Network
• Office Automation
• Helpdesk

2. Integration Engine

• Integration Engine

3. Decision Support

• Knowledge Management
• Data Warehousing
• Rules Management
• Statistical Analysis (EIS)

4. Patient Management

• Patient Management
• ICD / Grouper
• Appointment / Scheduling
• Unique Standard Patient File
• Security
• Primary Healthcare
• Call Center

5. Order Results Prescriptions
Communication

• Pharmacy Management
• Radiology Management
• Laboratory Management
• Other Medical Technical Diagnostics
• Orders Communication

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Roadmap
Project Name
Subproject Name
6. Specialty Areas

• Accident Emergency (AE)
• Theater Management
• Intensive Care Unit Management

7. Facility Management

• Maintenance Management
• Laundry Housekeeping
• Nutrition
• Catering

8. National Healthcare

• Drug Control Management
• Licensure, Registration Accreditation
• Public Health
• Quality Management
• Commercial Registration

9. Finance, Administration Insurance

• Insurance
• Finance
• Budget
• Activity Based Costing (ABC)
• Patient Billing

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Information and Communication Technology (ICT)
Strategy
Vision

• To provide the right information to the right
  people at the right time in order to provide the
  best service and health outcomes at reasonable
  cost.

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Strategy Scope
The scope of the project will include the study
and development of the following areas

• Review Ministry of Health Business functions,
  Processes and Organization.
• Review and assess current Information Systems
  used by MoH business areas
• Review and assess the performance of the current
  IT Strategy.
• Assess Business Priorities.
• Review the Ministry of Health Information Systems
  requirement, and redevelop it to suit MoH new
  business objectives.
• Review the existing Information Technology
  Infrastructure.
• Develop an Information Technology Strategy for
  MoH.

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Future Application Architecture
Dedicated Applications
Database Systems
Common Applications
Common Services
Decision Support Applications
Health Core Applications
Healthcare Support Applications
Administrative Support Applications
Human Resources Applications
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Health Core Applications Architecture
Database Systems
Common Applications
Common Services
Dedicated Applications



Health Core Applications
17 Appointment System
21 Common Standard Patient File
Integration Engine
11 Theater System
9 Laboratory System
10 Accidents Emergency System
12 Nutrition System
18 Orders Results Communication
Security
14 Radiology System
13 Pharmacy System
15 Public Health
16 Primary Healthcare
Rules Management
19 Patient Management System
20 ICD
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Example Accident Emergency System
Function
Requirement
Benefits
Priority
10.1 Emergency entrance
To save time
H
10.1.1 Ability to orient the emergency patients
to the correct service
10.1.2 Ability to know how many times the patient
came to the emergency service and what for
Better knowledge of patient history
M
10.1.3 Creation of a special emergency patient
file
To conduct necessary treatment quickly
M
10.1.4 Ability to find patients previous
medical record
To save time
M
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Example Accident Emergency System
Function
Requirement
Benefits
Priority
10.2 Emergency admission
10.2.1 The capability to indicate the type of
services provided at A/E (whether triage or
treatment at A/E)
Reduce paper work
M
10.2.2 The capability to monitor the patients
stay at A/E in observation room electronically
Improve quality of services provided to patients
and public
H
10.2.3 The capability of disaster registration
Improve quality of services provided to patients
and public during national crises
M
10.2.4 Ability to exchange information with the
financial accounting system
To help in analyzing the cost of treatment, and
provide statement to the insurance companies.
H
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Future Technical Architecture
ADT Billing Financials
Virtual Private Network ( VPN)
Integration Engine Transaction Monitor
Pharmacy
Pathology
Others
EPR Electronic Patient Record
Fire Wall
Logistics
Clients
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Thank you,